Camouflage orthodontic treatment of skeletal class II malocclusion with dental-facial asymmetries and missing teeth. Clinical case report.

Resumen

Camouflage orthodontics is a treatment alternative based upon rendering moderate or light dental-skeletal anomalies less evident through instauration of  merely dental-alveolar  movements. Mandibular asymmetries  are a special group of maxillary anomalies  which develop at embryonic  stage as well as  after birth. They can be due to hyper- or hypo- growth of a hemi-mandible, or by a combination of both. Retained canines  are a relatively common dental eruption anomaly in general population. This represents, among other collateral problems, a root integrity risk for adjacent teeth. Therefore, a decision must be made to perform traction to move them towards the dental arch, or, alternatively, it can be decided to surgically extract them so as to avoid complications during treatment. Missing teeth can represent a challenge for the orthodontist, when  designing treatment plan. He must decide whether to preserve space for a future prosthesis or  to close spaces through orthodontic movement of adjacent teeth, which will in turn functionally substitute missing teeth. This article presents  camouflage orthodontic treatment performed on a 29 year old female patient. Diagnosis emitted for this patient was as follows: skeletal Class II malocclusion, moderate dental-facial asymmetry, retained upper right canine and left lower third molar, as well as absence of left lower first molar. To this effect a Pro-torque slot .0128 x .025 straight wire appliance was used. Three first premolars and retained canine were extracted and  left lower second and third molars were subjected to mesialization.